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General NPI Number Information
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NPI Number | 1427362649
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Entity Type | Individual
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Provider Name | ANTHONY MAGGIO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 1706 TREASURE HILLS BLVD
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City | HARLINGEN
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State | TX
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Zip | 78550-8911
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Country | US
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Telephone | 956-365-6003
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 LOOP 11
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City | WICHITA FALLS
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State | TX
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Zip | 76306-6800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 25603
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License Number State | TX
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